Annexure-B

National University of Technology (NUTECH)

IJP Road, Sector I-12, Islamabad
Tel: 051-5476768, Fax: 5476769
Email: pnd.office@nutech.edu.pk
Website: www.nutech.edu.pk

APPLICATION FORM Please affix

your recent
GERMAN INDUSTRY SUPPORT PROGRAM passport size
photograph

1. Basic Details:
Name of Candidate: _________________________Category applying for___________________

Gender: Male Female Date of Birth (DD/MM/YYYY): _____/___/______

CNIC No.____________________________ Contact No: _______________________________

Email ID: _______________________________ Address: _________________________________

_
City: ______________ District: ______________ Province: _______________________________
Nationality: _______________________________________

2. Education Details:

Qualification Board/ University Total Marks Obtained Marks

Matric / O Level
FA/FSc /A Level/DAE

3. German Language Proficiency:

READ WRITE SPEAK

Excellent Good Fair Excellent Good Fair Excellent Good Fair

4. Declaration by Candidate:

I hereby declare that the information as provided by me is true and accurate. I understand and
accept that provision of false information on my part will disqualify me from the program, even
when it is in progress and I shall not claim refund of fee already paid.

Name: ___________________ Signature: ______________________________

Date: ____________________

Note: Please attach a copy of

i. CNIC
ii. Matric / O Level Certificate
iii. FA/FSc /A Level / DAE Certificate